Association of Smoking Habits and Height of Residual Bone on Implant Survival and Success Rate in Lateral Sinus Lift: A Retrospective Study.
Association of Smoking Habits and Height of Residual Bone on Implant Survival and Success Rate in Lateral Sinus Lift: A Retrospective Study.
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吸烟习惯和残骨高度对侧窦提升术中种植体存活率和成功率的影响：一项回顾性研究。
DOI：
10.1563/aaid-joi-d-17-00192
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
P. Tonelli
中科院分区：
文献类型：
--
作者：
L. Barbato;N. Baldi;A. Gonnelli;M. Duvina;M. Nieri;P. Tonelli
本研究的主要目的是评估患者相关因素、生物材料和植入物特性与鼻窦移植手术并发症发生率和植入物存活率之间的关系。次要目标是测量种植体周围的骨重建和患者满意度。设计了一项回顾性队列研究。包括在鼻窦手术前(T0)、种植手术后(T1)和随访时(T2)进行CT检查的患者。使用特定的表格收集临床数据。放射学测量是：鼻窦手术前的残骨高度在CT上测量(T0)，种植体周围的根尖和边缘骨水平在T1和T2时在正位X线片上测量。43例行侧鼻窦提升术。在植入种植体之前，有三个移植物失败。在29名患者的83枚种植体中，共有19枚失败。平均随访时间(T2)为6±1.8年[4；11.2年]。多水平模型分析表明，并发症发生率与患者相关因素、生物材料和植入物特性之间没有关联。吸烟(优势比[OR]：8.3；95%可信区间1.46~48.05，P=.0173)和残骨高度(优势比：每毫米0.32；95%可信区间0.15~0.68，P=0.0034)与种植失败有关。T1~T2的骨改建，根尖骨为-0.8±0.2 mm，边缘骨为-0.6±0.3 mm。视觉模拟评分一般治疗满意度为8.4±1.4。综上所述，鼻窦手术前残骨高度较低和吸烟习惯对种植体植入鼻窦的存活率有负面影响。
The primary aim was to evaluate the association of patient-related factors, biomaterials, and implant characteristics on complications' rate of sinus graft surgery and on implant survival rate in grafted sinus. Secondary aims were to measure bone remodeling around implants and patient satisfaction. A retrospective cohort study was designed. Patients who had computerized tomography (CT) before sinus surgery (T0), orthopantomography after implant surgery (T1) and at follow-up (T2), were included. Specific forms were used to collect clinical data. Radiographic measures were: height of residual bone before sinus surgery measured on CT (T0) and apical and marginal bone levels around implants measured on orthopantomography at T1 and T2. Forty-three lateral sinus lifts were performed. Three grafts failed before implant insertion. Out of 83 implants inserted in 29 patients, a total of 19 failed. Mean follow-up (T2) was 6 ± 1.8 years [4; 11.2 years]. The multilevel models analysis showed no association between complications rate and patient-related factors, biomaterials, and implant characteristics. Smoking (odds ratio [OR]: 8.3; 95% CI 1.46-48.05, P = .0173) and height of residual bone (OR: 0.32 for each mm; 95% CI 0.15-0.68, P = .0034) were associated with implant failure. Bone remodeling between T1 and T2 was -0.8 ± 0.2 mm for apical bone and -0.6 ± 0.3 mm for marginal bone. General therapy satisfaction measured in a visual analogue scale was 8.4 ±1.4. In conclusion, lower height of residual bone before sinus surgery and smoking habits had a negative prognostic effect on survival rate of dental implants placed in grafted sinuses.
影响因子：
2
作者：
SILNESS, J;LOE, H
通讯作者：
LOE, H